Individual
MS. LARAE NICHOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OC60901234
Contact information
Practice address
1010 S 336TH ST, FEDERAL WAY, WA 98003-6385
(253) 835-5769
Mailing address
19418 26TH AVENUE CT E, SPANAWAY, WA 98387-3415
(253) 882-9852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60901234
WA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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